Healthcare Provider Details

I. General information

NPI: 1780901181
Provider Name (Legal Business Name): JOSEPH STERNCHOS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2010
Last Update Date: 04/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 HADDONFIELD BERLIN RD
VOORHEES NJ
08043-4305
US

IV. Provider business mailing address

334 CRANFORD RD
CHERRY HILL NJ
08003-3118
US

V. Phone/Fax

Practice location:
  • Phone: 856-783-2201
  • Fax: 856-782-1398
Mailing address:
  • Phone: 856-616-8489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI02443700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: